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ICMD PA
NPI 1962091520
Internal Medicine in Summerfield, FL

Active since January 18, 2021
10770 SE 173RD ST, SUMMERFIELD, FL 34491(352) 455-2026(352) 748-2700 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICMD PA (NPI 1962091520) is a healthcare organization registered as an internal medicine in Summerfield, Florida and active in the NPI registry since January 2021. The organization maintains 2 additional practice locations and lists Fariborz Delbakhsh, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1962091520
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameICMD PA
Location Address10770 SE 173RD STSummerfield, FL 34491-6851
Mailing Address10770 Se 173rd StSummerfield, FL 34491-6851 · (352) 455-2026 · Fax (352) 748-2700
Phone(352) 455-2026
Fax(352) 748-2700
Organization SubpartNo
Authorized OfficialFariborz DelbakhshOwner, President · (352) 455-2026
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1962091520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10770 SE 173RD ST, Summerfield, FL 34491
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Secondary Practice Locations 2

Location 14767 County Road 466AWildwood, FL 34785-3616 · Phone (352) 435-7321 · Fax (352) 748-2700
Location 233006 Professional Dr Ste 102Leesburg, FL 34788-7510 · Phone (352) 435-7321 · Fax (352) 748-2700

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOCELYN CECILE ESLINGER ARNP
Nurse Practitioner (Family)
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 330-7951
FLORINES GONZALEZ ARNP, FNP-BC
Nurse Practitioner (Primary Care)
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 435-7321
MR. DERRICK J MARTIN SR. MD
Internal Medicine
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 425-7321
MARISSA RAE REIT PA-C
Physician Assistant
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 435-7321
DR. FARIBORZ DELBAKHSH M.D.
Specialist
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 307-9515
MARTHA ALVAREZ FNP-BC
Nurse Practitioner (Primary Care)
10770 SE 173RD ST
SUMMERFIELD, FL 34491
Marion County (352) 425-7321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icmd PA's NPI number?

The NPI number for Icmd PA is 1962091520. It was assigned to this organization in the NPPES registry on January 18, 2021.

Where is Icmd PA located?

Icmd PA is located at 10770 SE 173rd St, Summerfield, FL 34491. The listed phone number is (352) 455-2026.

What is Icmd PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Icmd PA was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.